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Organization
MARK A CLEMENS DDS PA
Active
Organization
MARK A CLEMENS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A CLEMENS DDS (PRESIDENT)
(913) 651-2115
Entity
Organization
Contact information
Practice address
502 SHAWNEE ST, LEAVENWORTH, KS 66048-1957
(913) 651-2115
(913) 682-1218
Mailing address
502 SHAWNEE ST, LEAVENWORTH, KS 66048-1957
(913) 651-2115
(913) 682-1218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6921
KS
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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